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Blepharoplasty​ in LA, SF and Orange County

As you get older, your face begins to show your age better than any other part of your body. With so much focus on the eyes, the eyelids can be one of your primary sources that contribute to signs of aging. Blepharoplasty is a plastic surgery procedure that operates on the eyelid and is therefore often referred to as eyelid surgery or an eye and brow lift.

Eyelid surgery can be beneficial for men and women who are wanting to improve eye conditions and the appearance of their lower or upper lids. Blepharoplasty can be performed for those wishing to achieve a more youthful look or to make their eyes seem bigger or wider.

At Wave Plastic Surgery, we offer both upper and lower eyelid surgery (Blepharoplasty), as well as specialized methods for Asian eyelid surgery. Not all patients will require surgery on both the upper and lower lids, so we will carefully go through your expectations during your consultation to determine a proper surgical procedure plan.

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Upper eyelid surgery at Wave

Upper eyelid surgery is one of our most popular cosmetic procedures performed here in Los Angeles. People suffering from droopy eyelids or excess skin and fat can often appear older, always tired, dry eyes, or even sad or angry.

Our upper eyelid surgery patients tell stories of how they are always asked about being tired despite feeling well-rested, how others assume they are older than they are, or even of how others avoid them because of the assumption they are in a bad mood. If this sounds like you, you may be a good candidate for upper eyelid surgery with one of our trained Los Angeles plastic surgeons.

We also commonly perform a modified version of the upper eyelid surgery for patients of Asian descent who are looking for a more significant and broader appearance of their eyes. Visit our Asian Blepharoplasty page for more information.

How is Upper eyelid surgery Performed?

For your upper eyelid surgery, we will make a discreet incision along the natural folds of your upper eyelid skin. From here, we can carefully remove any excess skin or tissue to improve any drooping or sagging of the lid.

Once your incisions are closed, you may return home under the care of a loved one. While the recovery may be uncomfortable at first, days after surgery, our patients often have no regrets once they see their results in the mirror. The look of aged and sagging skin will be gone and in its place, a younger, brighter appearance.

Lower eyelid surgery at Wave

For many people, the lower eyelid is one of the first places that change as part of our natural aging process. It is one of the most common surgeries performed for both men and women. Usually, for men, the condition is more severe and noticeable.

Lower eyelid surgery is often used for treating problems such as:

  • Bags beneath the eyelid (protruding fatty deposits)
  • Wrinkles
  • Deep, dark circles
  • Depression of the lower lid border (tear trough)
  • Rounded contour of the lower lid margin
  • Lack of the lower lid orbicularis muscle protrusion

Removing Protruding Fat Beneath the Eyes

There are three separate compartments where the orbital fat resides. As we age, the tissues holding the orbital fat become attenuated, and as a result, the fat becomes more visible as it protrudes out more. Depending on the severity and whether there is a depression in the lower portion of the lower lid rim, each individual’s treatment will be different.

If excess fat is the only issue, we can remove it using a transconjunctival approach (inside the eyelid). This prevents unnecessary external scars, and there is less of a chance of disrupting the tissues that can cause eversion of the lower eyelid. The removal of the fat must be conservative to prevent unwanted hollowing.

If the fat is not too significant but does exist, the tissues holding the orbital fat can be simply tightened. This is called a septal reset. If there is a hollowness in the lower lid rim, called a tear trough, the fat can be mobilized and repositioned to the bony rim margin. This helps with the removal of the protruding fat as well as filling in the defect of the tear trough.

Smoothing Wrinkles and Depressions in the Tear Trough (the Lower Lid Margin)

Older men and women may also be facing problems with wrinkles or depressions in the tear trough (the area below the lower lid).

Factors that can be causing this condition include:

  • Thinning of the lower eyelid skin
  • The skin’s attachment to the bone becomes tighter
  • The fat in the cheek descends, leaving a hollowed area below the eyes
  • The orbital fat above becomes more pronounced

In this case, if only the orbital fat is removed, it may cause even more pronouncement of the tear trough depression. Instead, we transfer the orbital fat to the lower lid rim to fill in this area. We have found that, at times, fat is not enough and therefore, may need to lift the malar soft tissue with an endoscopic mid-facelift using Endotine.

Reshaping the Lower Lid Margin

A youthful lower lid margin should have a relatively straight, horizontal direction, with a slightly upward tilt towards the end. However, as we age, the lower lid margin tension becomes weak and stretched. This results in a very loose margin, giving the eye a more rounded appearance. Tightening and straightening the margin can achieve a more youthful appearance of the eyes.

The technique used to reshape the lower lid margin is called a lateral canthopexy, where the lateral tendon of the eyes is fixed to the orbital bone. This will provide for a better shape of the eyes and helps to protect against post-surgical ectropion (margin of the eyelid being pulled down), which can occur after removing excess skin.

Sculpting the Orbital Muscle in the Lower Lid:

One of the prominent features of a youthful lower eyelid is the prominence of the orbital muscle just underneath the lower eyelashes. As we age, this can appear less pronounced. We may recommend the Alloderm dermal matrix or a fat transfer to sculpt the orbital muscle and restore a youthful appearance.

Get Your Eyelid Surgery Consultation Today

Give us a call today to schedule your Eyelid Surgery consultation with one of our plastic surgeons at Wave Plastic Surgery.

Frequently Asked Questions About Eyelid Surgery

Blepharoplasty is the medical term for eyelid surgery. The purpose of the surgery is to remove the excess fat and sagging skin from the upper and lower eyelids.

The eyelid surgery is ambulatory, so patients return home the day of the surgery. After 5 days, the sutures are removed, and any swelling will quickly subside. The swelling usually dissipates completely 2 weeks after the Blepharoplasty. Patients typically return to work a week after the surgery.

The average price for eyelid surgery, or Blepharoplasty, is around $4,000 for upper eyelid surgery and $5,000 for lower eyelid surgery. Most Plastic Surgeons will bundle upper and lower eyelid surgery for a discounted price.

Dark circles or “bags” under the eyes are treated with lower eyelid surgery if they are the result of shadowing due to bulging or fat or sagging skin. If the dark circles are the result of pigmentation changes, skin lightening creams or light chemical peels may be able to treat the issue.

The development of wrinkles around the eyes is a natural part of aging. Over time, the skin around the eyes becomes less elastic, which causes the eyelids to droop. Once this process begins, a person may start tensing their forehead muscles to lift their drooping eyelids. This can cause headaches and fatigue. If you are experiencing these symptoms, or want a more youthful, energetic look, you may be a good candidate for a blepharoplasty.


Eyelid surgery typically begins with local anesthesia to numb the area, along with light intravenous sedation. Patients remain awake, but stay comfortable and do not experience any pain during the procedure. After any surgical procedure, some discomfort can be expected. All patients are provided with prescriptions for pain medication. Patients typically have very mild discomfort after their eyelid procedures.

Eyelid skin is the thinnest skin on the body. As such, it heals more quickly than any other skin on the body. The incisions made during an eye lift procedure are made along the eye’s natural creases. These incisions will heal quickly and be almost imperceptible and are typically only visible when the eyes are closed.

Blepharoplasty is a relatively quick and non-invasive cosmetic procedure. A plastic surgeon can perform the upper Blepharoplasty in an hour and the lower Blepharoplasty in another hour.

Give us a call today to schedule your Eyelid Surgery consultation with one of our plastic surgeons at Wave Plastic Surgery.

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